Sud-Est

Continuous Ambulatory Delivery Device Patient Controlled Analgesia Prescription Order – South East

Patients enrolled in the COVID-19 Remote Monitoring Program use an app on their smartphone to report their symptoms to their nurse.

First Dose Parenteral Medication Screener – South East

To order care relating to Home Parenteral Nutrition in the South East. NOTE: Two (2) business days notice required

Referral form for administering COVID-19 antivirals in South East community nursing clinics.

South East IV therapy/venous access management medical orders

You may choose up to five (5) long-term care homes.

Formulaire de choix de foyer de soins de longue durée. Vous pouvez choisir jusqu’à cinq (5) foyers de soins de longue durée.

South East Medical Assistance in Dying Assessment Record

South East Medical Assistance in Dying Prescription/Order Form

South East Medical Assistance in Dying Procedural Record

Home and Community Care Support Services South East Medical Order Form

South East Mental Health and Addiction Nursing referral form

South East Negative Pressure Wound Therapy Order form cannot be initiated without negative pressure setting, therapy setting and contingency dressing orders.

Palliative Care SBAR Communication Tool for Nurses in the South East

Complete this form to refer patients to approved regional providers for offloading footwear

Home and Community Care Support Services South East referrals from hospital

Home and Community Care Support Services South East service request/referral form

Timing and placement of the Symptom Response Kit requires careful consideration with a goal of avoiding emergency room visit or hospital admission.